%PDF-1.4 % 1 0 obj << /Annots 2 0 R /Contents 3 0 R /Type /Page /Parent 209 0 R /Rotate 0 /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Resources << /Font << /F0 335 0 R /F1 331 0 R /F2 339 0 R >> /ProcSet [ /PDF /Text ] >> >> endobj 2 0 obj [ 16 0 R 15 0 R 23 0 R 25 0 R 12 0 R 21 0 R 22 0 R 20 0 R ] endobj 3 0 obj << /Length 2820 /Filter /FlateDecode >> stream HWێq_؀C6I}ǁvbfE6Ejy/7sIQ#X$NU:U "Y8d)o\TV,ڶ)EEJ8] [.OW|MU+lMfYF3ˉF7FZ;Zw: dbL}4 &-ˆwbFh:#J7 NݮmyuKKU݅[,ֻ;reO8Bje ii6$)˪+s%xTk'=^bvOWa80*ISqp0aKd2'<袥]} ڍnOFgi:yL)# \2L"3:ne QO.(ʔELJ>4Es"R҈sPU(L bwE&v( đ ~i(fA\3|E2.uK-9˃1eh Ǟ/dO܁==jRJ 93& a6Zӿpa.eȼݹӅ]´[id~++ө\(=:T Q$qog. D}lN,R88l&i*8oy^^ϕxؙBܛ;ry^Ee}&JNP6U$BD0*]]m4Ȯk 2[(In#B*%mLg=̲{ dZ l<=L-+L֢s݁b2t S#Ht ,껰Nt=}a,J@N($M7m>-OڗCF'>bວ@t:KO3ʅkeBl@3OvPcBËF?# f(jY^?DpK07a(e; TԼ.?$$ H "9 K^Ƥ0R̪cLsC ]Q7Es 8.~Rv$'zPH4{sᜑ/7(Նm.X*A^n]DXm_V+r e*qG0'3G)gN)5ôA~rPH8z\z)d(o7Ar憁k }%4SEO:?|QMi!ҐGFH! GusK*t'酹O~fl icGE+)4Qϼ+39hMGb*N01?au#Ӱ;u|CH#su7 gч1~|FZq{dB߶oX0#+ ߝ舞TODfiJ jOɋʗ!n3s)o FutbOUWLMDb-+QV-'4t> /ProcSet [ /PDF /Text ] >> >> endobj 5 0 obj [ 51 0 R 35 0 R 72 0 R 67 0 R 110 0 R 75 0 R 63 0 R 64 0 R 113 0 R 71 0 R 55 0 R 134 0 R 50 0 R 105 0 R 106 0 R 65 0 R 61 0 R 38 0 R 90 0 R 81 0 R 82 0 R 80 0 R 104 0 R 76 0 R 56 0 R 99 0 R 116 0 R 139 0 R 138 0 R 44 0 R 137 0 R 53 0 R 126 0 R 42 0 R 45 0 R 28 0 R 133 0 R 85 0 R 120 0 R 59 0 R 36 0 R 103 0 R 87 0 R 131 0 R 130 0 R 32 0 R 136 0 R 58 0 R 121 0 R 96 0 R 37 0 R 69 0 R 48 0 R 95 0 R 91 0 R 46 0 R 47 0 R 49 0 R 74 0 R 98 0 R 39 0 R 109 0 R 119 0 R 108 0 R 129 0 R 128 0 R 86 0 R 40 0 R 41 0 R 79 0 R 132 0 R 123 0 R 34 0 R 122 0 R 115 0 R 114 0 R 73 0 R 101 0 R 100 0 R 93 0 R 88 0 R 89 0 R 43 0 R 117 0 R 68 0 R 124 0 R 92 0 R 30 0 R 107 0 R 102 0 R 33 0 R 77 0 R 57 0 R 66 0 R 84 0 R 111 0 R 112 0 R 140 0 R 135 0 R 60 0 R 31 0 R ] endobj 6 0 obj << /Length 2548 /Filter /FlateDecode >> stream HWn2\"uy&N`@l[VGRU,F1 z"m tUVD4 "EADI96O2ҒVc!5e&;ۇ=v~ct궊HϹ&8;nygzԩYnAg2d~)YZ} 9VxP5Twh.%ȫqSPt(c,EK.!Ɨ ]ejz%R xiY~VrMc 7_XKJ$?<Z=$BudA+tɃ~ vZ5de 75w C Y+k<#_,L/NjiFFkM)/h.yr8O4lĚ Pnj'|(wtwg$e6Uȡ*wQ0qx֦AǸci1{}&r)&zeHmbrkTUnҚ(R jZLIMdlk1%oϺC^]L4^w9p&ҙ$njSlk5phkxd_lP5=}0{5a;Ժ&[(PuMw2Mhd]I*DizmI? C{-޹y:e&#eJYF2oy(+5Y]w|\ɴ`k0,[C9b6 U4Y^m7wh$1I$ ZKn6qZ.)\7Fڦp` W*ܷ~;# ƿLUEwqK}ێ3Rس!KZHtxbfK]Im Mr*{ِǝ z!LBeLMeG/ݓ"x)KMZeX'L\fLP cE>3ѹXR!Mˠ_.v**!QA*e0 )NC"y%h[^d@/T(SX'hG5$8ǼT^vFgn^nDM*UHh-Ҷ*DT^v(%$m>:ႋE tXaEDB_b( h^F~NO~DԒX.!`^[E mSV<a ̙JqOK61qmj"vaug0?l+G.'e8sYp\^ )t]5 _*3^-Éh1eBm@ӦISyZያxΨ A, RZ+:'4q|7oIx>٬]o^ W5GPd$uF @ ޤ8^r$jIBTb\3j&ѷHQ5b> /ProcSet [ /PDF /Text ] >> >> endobj 8 0 obj [ 167 0 R 188 0 R 190 0 R 196 0 R 187 0 R 163 0 R 174 0 R 152 0 R 151 0 R 147 0 R 194 0 R 168 0 R 180 0 R 170 0 R 179 0 R 203 0 R 143 0 R 199 0 R 166 0 R 183 0 R 150 0 R 195 0 R 201 0 R 145 0 R 158 0 R ] endobj 9 0 obj << /Length 2422 /Filter /FlateDecode >> stream HWr6CW^lI?l'Y]WDr‹#{9엵q"h{oW*L(LRt?<\k@9=,a9cE ?^ ZEJ,u״?vP{]/UӰijD׽KUR/ңBO'οiA13?˫-t>4GiS))*UWb"m+g͈tMWk/?~yf"Í|$",f?35CKOuTTTr]7(ZW5h6MQ-40sK̽,zNmZsFT;z3|E&@,J? m[19w:%J>h6;~eo*e`M={ބ9?4zFg6RWӬ95^Upq +I/fͤtZisjAh /tG 1<<1!,1gBy0r, X VC[y՝"g1Ź')akD 7g(*9dx~LJ齲p{!4izlZU;^ic^j1 cڬsR$_ g<8w|nٴRw汗f ufӴ%b\ʑߑ!Z87Dy28(\Lqpy.B/(Xw=E%[&?iz/0]I (Wr9-o7\k^d@iYf0rz0< Ϻ,5sRנZNi9X-!>"%Qi&.a [qۏ39٘Z˜(y9n ulh=}0zqf=kC@f视eOY*ƢZ+:FjюrP Yם+4EjgNtΐ8UL7t{| MI`irՓ\7 _TS wjjo_n Z8fCG^ҶG圥vnEMA<8kTe=vc]PW71Ѥl*N_F3~m*jiiKYqsЌ;PĨ JUm@ҭRr OM;ivy ,KF@wԍC41g)Fk0]%-u˺0cA ;[qǥ33.LDΖک;2qZY\wѤ!C7,_`-Vk(6CU2Va b!Q3/RW ٔ7<)[N,7II|FV9ݫh%MĜޏs-?~N@X~q}|MwnKX쾩[ T 3\cR?e dA^_-Lzr.|+hDmN\r%Q<YJi)Q"3crb! SD'pj·ύlYTD;~\0VI3 {^?$P4ؼb-  `z t8aik.׼-rKh3I4ICCjM!yW>;6fEìW$Pqoe/f (J;Qmg~`|o`4)7/10+|ۭ8_o`8ҎjV{ϱ,J2J@S"ޒgI,{a?F'( Df%O eHwvI"00JEQ DODXIpv1qyڙ8 Շ endstream endobj 10 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 11 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 12 0 obj << /F 4 /H /T /Type /Annot /Rect [ 49 477 58 486 ] /FT /Btn /Subtype /Widget /T (CheckBox53) /AP << /D << /1 11 0 R /Off 10 0 R >> /N << /1 11 0 R /Off 10 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 13 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 14 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 15 0 obj << /F 4 /H /T /Type /Annot /Rect [ 36 690 47 700 ] /FT /Btn /Subtype /Widget /T (CheckBox50) /AP << /D << /1 17 0 R /Off 18 0 R >> /N << /1 17 0 R /Off 18 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 16 0 obj << /F 4 /H /T /Type /Annot /Rect [ 36 706 47 717 ] /FT /Btn /Subtype /Widget /T (CheckBox49) /AP << /D << /1 27 0 R /Off 26 0 R >> /N << /1 27 0 R /Off 26 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 17 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 18 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 19 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 20 0 obj << /F 4 /Type /Annot /Rect [ 434 335 576 347 ] /FT /Tx /Subtype /Widget /P 1 0 R /T (FillText5) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 21 0 obj << /F 4 /H /T /Type /Annot /Rect [ 49 457 58 466 ] /FT /Btn /Subtype /Widget /T (CheckBox54) /AP << /D << /1 24 0 R /Off 14 0 R >> /N << /1 24 0 R /Off 14 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 22 0 obj << /F 4 /Type /Annot /Rect [ 434 370 576 382 ] /FT /Tx /Subtype /Widget /P 1 0 R /T (FillText40) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 23 0 obj << /F 4 /H /T /Type /Annot /Rect [ 36 673 47 684 ] /FT /Btn /Subtype /Widget /T (CheckBox51) /AP << /D << /1 19 0 R /Off 13 0 R >> /N << /1 19 0 R /Off 13 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 24 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 25 0 obj << /F 4 /Type /Annot /Rect [ 36 527 576 658 ] /FT /Tx /Subtype /Widget /P 1 0 R /T (FillText1) /DA (/TiBo 9 Tf 0 g) /Ff 8392704 /Maxlen 16000 >> endobj 26 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 27 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 28 0 obj << /F 4 /Type /Annot /Rect [ 188 398 265 410 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Amount_of_Tax_at_Issue5) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 29 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 30 0 obj << /F 4 /Type /Annot /Rect [ 36 139 189 151 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Party_Name3) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 31 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 42 529 53 ] /FT /Btn /Subtype /Widget /T (CheckBox60) /AP << /D << /Off 94 0 R /No 125 0 R >> /N << /Off 94 0 R /No 125 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 32 0 obj << /F 4 /Type /Annot /Rect [ 36 297 92 310 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText221) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 33 0 obj << /F 4 /Type /Annot /Rect [ 474 139 576 151 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Daytime_Phone3) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 34 0 obj << /F 4 /Type /Annot /Rect [ 265 240 438 252 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText248) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 35 0 obj << /F 4 /Type /Annot /Rect [ 36 573 576 675 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText75) /DA (/TiBo 9 Tf 0 g) /Ff 8392704 /Maxlen 16000 >> endobj 36 0 obj << /F 4 /Type /Annot /Rect [ 92 312 189 324 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText216) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 37 0 obj << /F 4 /Type /Annot /Rect [ 515 297 576 310 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText226) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 38 0 obj << /F 4 /Type /Annot /Rect [ 188 441 265 454 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Amount_of_Tax_at_Issue2) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 39 0 obj << /F 4 /Type /Annot /Rect [ 265 268 438 281 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText236) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 40 0 obj << /F 4 /Type /Annot /Rect [ 438 254 515 266 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText243) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 41 0 obj << /F 4 /Type /Annot /Rect [ 515 254 576 266 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText244) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 42 0 obj << /F 4 /Type /Annot /Rect [ 36 398 92 410 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Tax_Years_Involved5) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 43 0 obj << /F 4 /Type /Annot /Rect [ 474 168 576 180 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Daytime_Phone1) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 44 0 obj << /F 4 /Type /Annot /Rect [ 188 413 265 425 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Amount_of_Tax_at_Issue4) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 45 0 obj << /F 4 /Type /Annot /Rect [ 92 398 188 410 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Type_of_Tax_income_excise_employment_etc5) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 46 0 obj << /F 4 /Type /Annot /Rect [ 438 283 515 295 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText231) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 47 0 obj << /F 4 /Type /Annot /Rect [ 515 283 576 295 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText232) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 48 0 obj << /F 4 /Type /Annot /Rect [ 92 283 189 295 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText228) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 49 0 obj << /F 4 /Type /Annot /Rect [ 36 268 92 281 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText233) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 50 0 obj << /F 4 /Type /Annot /Rect [ 265 456 368 468 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Amount_of_Tax_BenefitsClaimed_on_Tax_Return1) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 51 0 obj << /F 4 /Type /Annot /Rect [ 36 702 576 714 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (box_checked_in_Section_2_to_which_this_Schedule_A) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 52 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 53 0 obj << /F 4 /Type /Annot /Rect [ 368 413 476 425 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Line_Item_where_expense_claimed4) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 54 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 55 0 obj << /F 4 /Type /Annot /Rect [ 92 456 188 468 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Type_of_Tax_income_excise_employment_etc1) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 56 0 obj << /F 4 /Type /Annot /Rect [ 265 427 368 439 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Amount_of_Tax_BenefitsClaimed_on_Tax_Return3) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 57 0 obj << /F 4 /Type /Annot /Rect [ 189 125 265 137 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (EINSSN5) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 58 0 obj << /F 4 /Type /Annot /Rect [ 189 297 265 310 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText223) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 59 0 obj << /F 4 /Type /Annot /Rect [ 36 312 92 324 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText215) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 60 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 42 479 53 ] /FT /Btn /Subtype /Widget /T (CheckBox59) /AP << /D << /Off 83 0 R /Yes 70 0 R >> /N << /Off 83 0 R /Yes 70 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 61 0 obj << /F 4 /Type /Annot /Rect [ 92 441 188 454 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Type_of_Tax_income_excise_employment_etc2) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 62 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 63 0 obj << /F 4 /Type /Annot /Rect [ 265 470 368 482 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Amount_of_Tax_BenefitsClaimed_on_Tax_Return) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 64 0 obj << /F 4 /Type /Annot /Rect [ 368 470 476 482 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Line_Item_where_expense_claimed) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 65 0 obj << /F 4 /Type /Annot /Rect [ 36 441 92 454 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Tax_Years_Involved2) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 66 0 obj << /F 4 /Type /Annot /Rect [ 265 125 474 137 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Address6) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 67 0 obj << /F 4 /Type /Annot /Rect [ 36 470 92 482 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Tax_Years_Involved) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 68 0 obj << /F 4 /Type /Annot /Rect [ 189 153 265 166 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (EINSSN3) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 69 0 obj << /F 4 /Type /Annot /Rect [ 36 283 92 295 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText227) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 70 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 71 0 obj << /F 4 /Type /Annot /Rect [ 36 456 92 468 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Tax_Years_Involved1) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 72 0 obj << /F 4 /Type /Annot /Rect [ 403 544 575 556 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (2_Enter_the_applicable_Tax_Shelter_Registration_or) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 73 0 obj << /F 4 /Type /Annot /Rect [ 189 182 265 194 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (EINSSN1) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 74 0 obj << /F 4 /Type /Annot /Rect [ 92 268 189 281 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText234) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 75 0 obj << /F 4 /Type /Annot /Rect [ 188 470 265 482 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Amount_of_Tax_at_Issue) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 76 0 obj << /F 4 /Type /Annot /Rect [ 188 427 265 439 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Amount_of_Tax_at_Issue3) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 77 0 obj << /F 4 /Type /Annot /Rect [ 36 125 189 137 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Party_Name4) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 78 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 79 0 obj << /F 4 /Type /Annot /Rect [ 36 240 92 252 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText245) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 80 0 obj << /F 4 /Type /Annot /Rect [ 36 427 92 439 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Tax_Years_Involved3) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 81 0 obj << /F 4 /Type /Annot /Rect [ 368 441 476 454 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Line_Item_where_expense_claimed2) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 82 0 obj << /F 4 /Type /Annot /Rect [ 476 441 576 454 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Date_Tax_Return_obd2) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 83 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 84 0 obj << /F 4 /Type /Annot /Rect [ 474 125 576 137 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Daytime_Phone4) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 85 0 obj << /F 4 /Type /Annot /Rect [ 368 398 476 410 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Line_Item_where_expense_claimed5) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 86 0 obj << /F 4 /Type /Annot /Rect [ 265 254 438 266 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText242) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 87 0 obj << /F 4 /Type /Annot /Rect [ 265 312 438 324 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText218) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 88 0 obj << /F 4 /Type /Annot /Rect [ 189 168 265 180 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (EINSSN2) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 89 0 obj << /F 4 /Type /Annot /Rect [ 265 168 474 180 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Address3) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 90 0 obj << /F 4 /Type /Annot /Rect [ 265 441 368 454 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Amount_of_Tax_BenefitsClaimed_on_Tax_Return2) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 91 0 obj << /F 4 /Type /Annot /Rect [ 265 283 438 295 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText230) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 92 0 obj << /F 4 /Type /Annot /Rect [ 474 153 576 166 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Daytime_Phone2) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 93 0 obj << /F 4 /Type /Annot /Rect [ 36 168 189 180 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Party_Name1) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 94 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 95 0 obj << /F 4 /Type /Annot /Rect [ 189 283 265 295 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText229) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 96 0 obj << /F 4 /Type /Annot /Rect [ 438 297 515 310 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText225) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 97 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 98 0 obj << /F 4 /Type /Annot /Rect [ 189 268 265 281 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText235) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 99 0 obj << /F 4 /Type /Annot /Rect [ 368 427 476 439 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Line_Item_where_expense_claimed3) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 100 0 obj << /F 4 /Type /Annot /Rect [ 474 182 576 194 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Daytime_Phone) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 101 0 obj << /F 4 /Type /Annot /Rect [ 265 182 474 194 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Address2) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 102 0 obj << /F 4 /Type /Annot /Rect [ 265 139 474 151 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Address5) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 103 0 obj << /F 4 /Type /Annot /Rect [ 189 312 265 324 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText217) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 104 0 obj << /F 4 /Type /Annot /Rect [ 92 427 188 439 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Type_of_Tax_income_excise_employment_etc3) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 105 0 obj << /F 4 /Type /Annot /Rect [ 368 456 476 468 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Line_Item_where_expense_claimed1) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 106 0 obj << /F 4 /Type /Annot /Rect [ 476 456 576 468 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Date_Tax_Return_obd1) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 107 0 obj << /F 4 /Type /Annot /Rect [ 189 139 265 151 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (EINSSN4) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 108 0 obj << /F 4 /Type /Annot /Rect [ 36 254 92 266 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText239) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 109 0 obj << /F 4 /Type /Annot /Rect [ 438 268 515 281 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText237) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 110 0 obj << /F 4 /Type /Annot /Rect [ 92 470 188 482 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Type_of_Tax_income_excise_employment_etc) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 111 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 92 479 103 ] /FT /Btn /Subtype /Widget /T (CheckBox55) /AP << /D << /Off 54 0 R /Yes 52 0 R >> /N << /Off 54 0 R /Yes 52 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 112 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 92 529 103 ] /FT /Btn /Subtype /Widget /T (CheckBox56) /AP << /D << /Off 127 0 R /No 62 0 R >> /N << /Off 127 0 R /No 62 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 113 0 obj << /F 4 /Type /Annot /Rect [ 476 470 576 482 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Date_Tax_Return_obd) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 114 0 obj << /F 4 /Type /Annot /Rect [ 36 182 189 194 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Party_Name) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 115 0 obj << /F 4 /Type /Annot /Rect [ 515 240 576 252 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText250) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 116 0 obj << /F 4 /Type /Annot /Rect [ 476 427 576 439 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Date_Tax_Return_obd3) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 117 0 obj << /F 4 /Type /Annot /Rect [ 36 153 189 166 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Party_Name2) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 118 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 119 0 obj << /F 4 /Type /Annot /Rect [ 515 268 576 281 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText238) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 120 0 obj << /F 4 /Type /Annot /Rect [ 476 398 576 410 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Date_Tax_Return_obd5) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 121 0 obj << /F 4 /Type /Annot /Rect [ 265 297 438 310 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText224) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 122 0 obj << /F 4 /Type /Annot /Rect [ 438 240 515 252 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText249) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 123 0 obj << /F 4 /Type /Annot /Rect [ 189 240 265 252 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText247) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 124 0 obj << /F 4 /Type /Annot /Rect [ 265 153 474 166 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Address4) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 125 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 126 0 obj << /F 4 /Type /Annot /Rect [ 476 413 576 425 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Date_Tax_Return_obd4) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 127 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 128 0 obj << /F 4 /Type /Annot /Rect [ 189 254 265 266 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText241) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 129 0 obj << /F 4 /Type /Annot /Rect [ 92 254 189 266 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText240) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 130 0 obj << /F 4 /Type /Annot /Rect [ 515 312 576 324 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText220) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 131 0 obj << /F 4 /Type /Annot /Rect [ 438 312 515 324 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText219) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 132 0 obj << /F 4 /Type /Annot /Rect [ 92 240 189 252 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText246) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 133 0 obj << /F 4 /Type /Annot /Rect [ 265 398 368 410 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Amount_of_Tax_BenefitsClaimed_on_Tax_Return5) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 134 0 obj << /F 4 /Type /Annot /Rect [ 188 456 265 468 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Amount_of_Tax_at_Issue1) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 135 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 67 529 78 ] /FT /Btn /Subtype /Widget /T (CheckBox57) /AP << /D << /Off 78 0 R /No 29 0 R >> /N << /Off 78 0 R /No 29 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 136 0 obj << /F 4 /Type /Annot /Rect [ 92 297 189 310 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (FillText222) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 137 0 obj << /F 4 /Type /Annot /Rect [ 265 413 368 425 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Amount_of_Tax_BenefitsClaimed_on_Tax_Return4) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 138 0 obj << /F 4 /Type /Annot /Rect [ 92 413 188 425 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Type_of_Tax_income_excise_employment_etc4) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 139 0 obj << /F 4 /Type /Annot /Rect [ 36 413 92 425 ] /FT /Tx /Subtype /Widget /P 4 0 R /T (Tax_Years_Involved4) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 140 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 67 479 78 ] /FT /Btn /Subtype /Widget /T (CheckBox58) /AP << /D << /Off 97 0 R /Yes 118 0 R >> /N << /Off 97 0 R /Yes 118 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 141 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 142 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 143 0 obj << /F 4 /H /T /Type /Annot /Rect [ 220 394 231 405 ] /FT /Btn /Subtype /Widget /T (Another2) /AP << /D << /1 175 0 R /Off 182 0 R >> /N << /1 175 0 R /Off 182 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 144 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 145 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 318 529 328 ] /FT /Btn /Subtype /Widget /T (No8) /AP << /D << /Off 155 0 R /No 142 0 R >> /N << /Off 155 0 R /No 142 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 146 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 147 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 506 529 517 ] /FT /Btn /Subtype /Widget /T (CheckBox67) /AP << /D << /Off 164 0 R /No 156 0 R >> /N << /Off 164 0 R /No 156 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 148 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 149 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 150 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 347 529 358 ] /FT /Btn /Subtype /Widget /T (No7) /AP << /D << /Off 157 0 R /No 173 0 R >> /N << /Off 157 0 R /No 173 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 151 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 506 479 517 ] /FT /Btn /Subtype /Widget /T (Yes4) /AP << /D << /Off 191 0 R /Yes 149 0 R >> /N << /Off 191 0 R /Yes 149 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 152 0 obj << /F 4 /Type /Annot /Rect [ 36 526 576 573 ] /FT /Tx /Subtype /Widget /P 7 0 R /T (FillText74) /DA (/TiBo 9 Tf 0 g) /Ff 8392704 /Maxlen 16000 >> endobj 153 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 154 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 155 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 156 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 157 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 158 0 obj << /F 4 /Type /Annot /Rect [ 36 160 576 297 ] /FT /Tx /Subtype /Widget /P 7 0 R /T (FillText73) /DA (/TiBo 9 Tf 0 g) /Ff 8392704 /Maxlen 16000 >> endobj 159 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 160 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 161 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 162 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 163 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 589 479 600 ] /FT /Btn /Subtype /Widget /T (CheckBox65) /AP << /D << /Off 189 0 R /Yes 186 0 R >> /N << /Off 189 0 R /Yes 186 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 164 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 165 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 166 0 obj << /F 4 /Type /Annot /Rect [ 234 371 576 384 ] /FT /Tx /Subtype /Widget /P 7 0 R /T (FillText76) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 167 0 obj << /F 4 /Type /Annot /Rect [ 36 687 576 700 ] /FT /Tx /Subtype /Widget /P 7 0 R /T (box_checked_in_Section_2_to_which_this_Schedule_B) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 168 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 462 529 473 ] /FT /Btn /Subtype /Widget /T (No5) /AP << /D << /Off 177 0 R /No 165 0 R >> /N << /Off 177 0 R /No 165 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 169 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 170 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 417 479 428 ] /FT /Btn /Subtype /Widget /T (Yes6) /AP << /D << /Off 144 0 R /Yes 171 0 R >> /N << /Off 144 0 R /Yes 171 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 171 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 172 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 173 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 174 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 589 529 600 ] /FT /Btn /Subtype /Widget /T (CheckBox66) /AP << /D << /Off 198 0 R /No 148 0 R >> /N << /Off 198 0 R /No 148 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 175 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 176 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 177 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 178 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 179 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 417 529 428 ] /FT /Btn /Subtype /Widget /T (No6) /AP << /D << /Off 162 0 R /No 200 0 R >> /N << /Off 162 0 R /No 200 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 180 0 obj << /F 4 /Type /Annot /Rect [ 201 441 576 453 ] /FT /Tx /Subtype /Widget /P 7 0 R /T (FillText59) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 181 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 182 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 183 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 347 479 358 ] /FT /Btn /Subtype /Widget /T (Yes7) /AP << /D << /Off 192 0 R /Yes 185 0 R >> /N << /Off 192 0 R /Yes 185 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 184 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 185 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 186 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 187 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 611 529 621 ] /FT /Btn /Subtype /Widget /T (CheckBox64) /AP << /D << /Off 178 0 R /No 181 0 R >> /N << /Off 178 0 R /No 181 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 188 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 642 479 653 ] /FT /Btn /Subtype /Widget /T (CheckBox61) /AP << /D << /Off 146 0 R /Yes 153 0 R >> /N << /Off 146 0 R /Yes 153 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 189 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 190 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 642 529 653 ] /FT /Btn /Subtype /Widget /T (CheckBox62) /AP << /D << /Off 172 0 R /No 193 0 R >> /N << /Off 172 0 R /No 193 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 191 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 192 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 193 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 194 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 462 479 473 ] /FT /Btn /Subtype /Widget /T (Yes5) /AP << /D << /Off 161 0 R /Yes 160 0 R >> /N << /Off 161 0 R /Yes 160 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 195 0 obj << /F 4 /H /T /Type /Annot /Rect [ 383 318 394 328 ] /FT /Btn /Subtype /Widget /T (Dont_know) /AP << /D << /Off 176 0 R /Dont#20know 184 0 R >> /N << /Off 176 0 R /Dont#20know 184 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 196 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 611 479 621 ] /FT /Btn /Subtype /Widget /T (CheckBox63) /AP << /D << /Off 169 0 R /Yes 154 0 R >> /N << /Off 169 0 R /Yes 154 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 197 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 198 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 199 0 obj << /F 4 /Type /Annot /Rect [ 447 394 576 406 ] /FT /Tx /Subtype /Widget /P 7 0 R /T (Another1) /Q 2 /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 200 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 201 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 318 479 328 ] /FT /Btn /Subtype /Widget /T (Yes8) /AP << /D << /Off 197 0 R /Yes 159 0 R >> /N << /Off 197 0 R /Yes 159 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 202 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 203 0 obj << /F 4 /H /T /Type /Annot /Rect [ 170 394 180 405 ] /FT /Btn /Subtype /Widget /T (I_did) /AP << /D << /1 141 0 R /Off 202 0 R >> /N << /1 141 0 R /Off 202 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 204 0 obj << /Encoding << /PDFDocEncoding 207 0 R >> /Font << /TiBo 205 0 R /Helv 206 0 R /ZaDb 227 0 R >> >> endobj 205 0 obj << /Type /Font /Name /TiBo /Encoding 208 0 R /BaseFont /Times-Bold /FirstChar 32 /LastChar 255 /Subtype /Type1 >> endobj 206 0 obj << /Type /Font /Name /Helv /Encoding 207 0 R /BaseFont /Helvetica /Subtype /Type1 >> endobj 207 0 obj << /Type /Encoding /Differences [ 24 /breve /caron /circumflex /dotaccent /hungarumlaut /ogonek /ring /tilde 39 /quotesingle 96 /grave 128 /bullet /dagger /daggerdbl /ellipsis /emdash /endash /florin /fraction /guilsinglleft /guilsinglright /minus /perthousand /quotedblbase /quotedblleft /quotedblright /quoteleft /quoteright /quotesinglbase /trademark /fi /fl /Lslash /OE /Scaron /Ydieresis /Zcaron /dotlessi /lslash /oe /scaron /zcaron 160 /Euro 164 /currency 166 /brokenbar 168 /dieresis /copyright /ordfeminine 172 /logicalnot /.notdef /registered /macron /degree /plusminus /twosuperior /threesuperior /acute /mu 183 /periodcentered /cedilla /onesuperior /ordmasculine 188 /onequarter /onehalf /threequarters 192 /Agrave /Aacute /Acircumflex /Atilde /Adieresis /Aring /AE /Ccedilla /Egrave /Eacute /Ecircumflex /Edieresis /Igrave /Iacute /Icircumflex /Idieresis /Eth /Ntilde /Ograve /Oacute /Ocircumflex /Otilde /Odieresis /multiply /Oslash /Ugrave /Uacute /Ucircumflex /Udieresis /Yacute /Thorn /germandbls /agrave /aacute /acircumflex /atilde /adieresis /aring /ae /ccedilla /egrave /eacute /ecircumflex /edieresis /igrave /iacute /icircumflex /idieresis /eth /ntilde /ograve /oacute /ocircumflex /otilde /odieresis /divide /oslash /ugrave /uacute /ucircumflex /udieresis /yacute /thorn /ydieresis ] >> endobj 208 0 obj << /Type /Encoding /Differences [ 24 /breve /caron /circumflex /dotaccent /hungarumlaut /ogonek /ring /tilde 39 /quotesingle 96 /grave 128 /bullet /dagger /daggerdbl /ellipsis /emdash /endash /florin /fraction /guilsinglleft /guilsinglright /minus /perthousand /quotedblbase /quotedblleft /quotedblright /quoteleft /quoteright /quotesinglbase /trademark /fi /fl /Lslash /OE /Scaron /Ydieresis /Zcaron /dotlessi /lslash /oe /scaron /zcaron 160 /Euro 164 /currency 166 /brokenbar 168 /dieresis /copyright /ordfeminine 172 /logicalnot /.notdef /registered /macron /degree /plusminus /twosuperior /threesuperior /acute /mu 183 /periodcentered /cedilla /onesuperior /ordmasculine 188 /onequarter /onehalf /threequarters 192 /Agrave /Aacute /Acircumflex /Atilde /Adieresis /Aring /AE /Ccedilla /Egrave /Eacute /Ecircumflex /Edieresis /Igrave /Iacute /Icircumflex /Idieresis /Eth /Ntilde /Ograve /Oacute /Ocircumflex /Otilde /Odieresis /multiply /Oslash /Ugrave /Uacute /Ucircumflex /Udieresis /Yacute /Thorn /germandbls /agrave /aacute /acircumflex /atilde /adieresis /aring /ae /ccedilla /egrave /eacute /ecircumflex /edieresis /igrave /iacute /icircumflex /idieresis /eth /ntilde /ograve /oacute /ocircumflex /otilde /odieresis /divide /oslash /ugrave /uacute /ucircumflex /udieresis /yacute /thorn /ydieresis ] >> endobj 209 0 obj << /Count 4 /Kids [ 215 0 R 1 0 R 4 0 R 7 0 R ] /Type /Pages >> endobj 210 0 obj << /ModDate (D:20051109165039-05'00') /CreationDate (D:20051109124333-05'00') /Title (Form 13750 \(10-2005\)) /Creator (OmniForm Premium) /Author (Publishing-PAS) /Keywords (Fillable) /Subject (Election to Participate in Announcement 2005-80 Settlement Initiative) /Producer (OmniForm Converter for PDF) >> endobj 211 1 obj << /S /JavaScript /JS (/*Ubiquity*/\rvar needsUpdate = 0;\rif \(app.viewerType == "Exchange" &&\ app.viewerVariation=="Fill-In"\)\r needsUpdate = 1;\relse if \(app.v\ iewerType == "Reader"\)\r{\r if \(app.viewerVersion >= 5.1\)\r \ needsUpdate = 0;\r else if \(app.viewerVersion < 5\)\r needsU\ pdate = 1;\r else\r {\r needsUpdate = 1;\r var aPlug\ ins = app.plugIns;\r var nPlugins = aPlugins.length;\r for\ \(var iPlugin = 0; needsUpdate && iPlugin < nPlugins; ++iPlugin\)\r \ {\r if \(aPlugins[iPlugin].name == "SVG"\)\r \ needsUpdate = 0;\r }\r }\r}\rif \(needsUpdate\)\r{\r var\ ans = app.alert\("This document requires one of the following\\nin orde\ r to be used as the author intended:\\n\\n - Acrobat Reader 5.1 or later\ \\n - Acrobat 5.0.5 or later\\n - Acrobat Approval 5.0.5 or later\\n\\nY\ ou are viewing this document with an earlier\\nversion of one of these p\ roducts. As a result,\\nsome features\\nof the document will not operat\ e.\\n\\nClick OK to go on-line and obtain the latest version\\nof the fr\ ee Adobe Reader.\\n", 1, 1\);\r if \(ans == 1\)\r this.getURL\(\ "http://www.adobe.com/acrobat", false\);\r}) >> endobj 212 1 obj << /Type /Metadata /Subtype /XML /Length 2514 >> stream OmniForm Converter for PDF Fillable 2005-11-09T16:50:39-05:00 2005-11-09T12:43:33-05:00 Form 13750 (10-2005) Election to Participate in Announcement 2005-80 Settlement Initiative Publishing-PAS OmniForm Premium 2005-11-09T16:50:39-05:00 2005-11-09T12:43:33-05:00 2005-11-09T16:50:39-05:00 OmniForm Premium application/pdf Form 13750 (10-2005) Election to Participate in Announcement 2005-80 Settlement Initiative Publishing-PAS uuid:9561858e-2278-4dfe-b172-7d9f4120090f 4 application/pdf Form 13750 (10-2005) Election to Participate in Announcement 2005-80 Settlement Initiative Publishing-PAS endstream endobj 213 0 obj << /Pages 209 0 R /Type /Catalog /AcroForm 214 0 R /Metadata 212 1 R /ViewerPreferences << /Rights << /Document [ /FullSave ] /Form [ /Import /Export /SubmitStandalone /SpawnTemplate ] /Msg (This form has document rights applied to it. These rights allow anyone \ completing this form, with the free Adobe Reader, to save their filled-i\ n form locally.) /Version 1 /TimeOfUbiquitization (D:20051109215039Z)/RightsID [ (\201\275/\024R_\375|7\361\007\347\r\365\334,u'\370\266_`M0\021\\\211lF*H\ \376\007A=5$\003\004Lq\017\366\327\264\321\334\365a^`\313\313\037\233\267\ ,\2774\3779\250!A) (\234\252\371\345\365@\254\260\313\274\024\034B\202\252"9\352[\017\204EvJ\ \327\303\\\250\326\311\346Q\205> >> >> endobj 214 0 obj << /Fields [ 217 0 R 218 0 R 219 0 R 220 0 R 221 0 R 222 0 R 223 0 R 224 0 R 228 0 R 231 0 R 234 0 R 237 0 R 238 0 R 239 0 R 240 0 R 241 0 R 242 0 R 243 0 R 246 0 R 249 0 R 252 0 R 255 0 R 258 0 R 261 0 R 264 0 R 267 0 R 270 0 R 273 0 R 276 0 R 279 0 R 282 0 R 285 0 R 288 0 R 291 0 R 294 0 R 297 0 R 300 0 R 303 0 R 306 0 R 309 0 R 312 0 R 315 0 R 318 0 R 321 0 R 324 0 R 327 0 R 16 0 R 15 0 R 23 0 R 25 0 R 12 0 R 21 0 R 22 0 R 20 0 R 51 0 R 35 0 R 72 0 R 67 0 R 110 0 R 75 0 R 63 0 R 64 0 R 113 0 R 71 0 R 55 0 R 134 0 R 50 0 R 105 0 R 106 0 R 65 0 R 61 0 R 38 0 R 90 0 R 81 0 R 82 0 R 80 0 R 104 0 R 76 0 R 56 0 R 99 0 R 116 0 R 139 0 R 138 0 R 44 0 R 137 0 R 53 0 R 126 0 R 42 0 R 45 0 R 28 0 R 133 0 R 85 0 R 120 0 R 59 0 R 36 0 R 103 0 R 87 0 R 131 0 R 130 0 R 32 0 R 136 0 R 58 0 R 121 0 R 96 0 R 37 0 R 69 0 R 48 0 R 95 0 R 91 0 R 46 0 R 47 0 R 49 0 R 74 0 R 98 0 R 39 0 R 109 0 R 119 0 R 108 0 R 129 0 R 128 0 R 86 0 R 40 0 R 41 0 R 79 0 R 132 0 R 123 0 R 34 0 R 122 0 R 115 0 R 114 0 R 73 0 R 101 0 R 100 0 R 93 0 R 88 0 R 89 0 R 43 0 R 117 0 R 68 0 R 124 0 R 92 0 R 30 0 R 107 0 R 102 0 R 33 0 R 77 0 R 57 0 R 66 0 R 84 0 R 111 0 R 112 0 R 140 0 R 135 0 R 60 0 R 31 0 R 167 0 R 188 0 R 190 0 R 196 0 R 187 0 R 163 0 R 174 0 R 152 0 R 151 0 R 147 0 R 194 0 R 168 0 R 180 0 R 170 0 R 179 0 R 203 0 R 143 0 R 199 0 R 166 0 R 183 0 R 150 0 R 195 0 R 201 0 R 145 0 R 158 0 R ] /DR 204 0 R /DA (/TiBo 10 Tf 0 g) >> endobj 215 0 obj << /Annots 216 0 R /Contents 342 0 R /Type /Page /Parent 209 0 R /Rotate 0 /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Resources << /Font << /F0 335 0 R /F1 331 0 R /F2 339 0 R /F3 341 0 R >> /ProcSet [ /PDF /Text ] >> /AA << /O 211 1 R >> >> endobj 216 0 obj [ 217 0 R 218 0 R 219 0 R 220 0 R 221 0 R 222 0 R 223 0 R 224 0 R 228 0 R 231 0 R 234 0 R 237 0 R 238 0 R 239 0 R 240 0 R 241 0 R 242 0 R 243 0 R 246 0 R 249 0 R 252 0 R 255 0 R 258 0 R 261 0 R 264 0 R 267 0 R 270 0 R 273 0 R 276 0 R 279 0 R 282 0 R 285 0 R 288 0 R 291 0 R 294 0 R 297 0 R 300 0 R 303 0 R 306 0 R 309 0 R 312 0 R 315 0 R 318 0 R 321 0 R 324 0 R 327 0 R ] endobj 217 0 obj << /F 4 /Type /Annot /Rect [ 36 577 422 613 ] /FT /Tx /Subtype /Widget /P 215 0 R /T (FillText15) /DA (/TiBo 9 Tf 0 g) /Ff 8392704 /Maxlen 16000 >> endobj 218 0 obj << /F 4 /Type /Annot /Rect [ 427 577 575 606 ] /FT /Tx /Subtype /Widget /P 215 0 R /T (FillText17) /DA (/TiBo 9 Tf 0 g) /Ff 8392704 /Maxlen 16000 >> endobj 219 0 obj << /F 4 /Type /Annot /Rect [ 36 520 405 565 ] /FT /Tx /Subtype /Widget /P 215 0 R /T (FillText16) /DA (/TiBo 9 Tf 0 g) /Ff 8392704 /Maxlen 16000 >> endobj 220 0 obj << /F 4 /Type /Annot /Rect [ 441 551 470 563 ] /FT /Tx /Subtype /Widget /P 215 0 R /T (FillText18) /Q 1 /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 221 0 obj << /F 4 /Type /Annot /Rect [ 476 551 576 563 ] /FT /Tx /Subtype /Widget /P 215 0 R /T (FillText19) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 222 0 obj << /F 4 /Type /Annot /Rect [ 442 522 470 534 ] /FT /Tx /Subtype /Widget /P 215 0 R /T (FillText2) /Q 1 /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 223 0 obj << /F 4 /Type /Annot /Rect [ 476 522 577 534 ] /FT /Tx /Subtype /Widget /P 215 0 R /T (FillText3) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 224 0 obj << /F 4 /H /T /Type /Annot /Rect [ 51 486 62 497 ] /FT /Btn /Subtype /Widget /T (Yes1) /AP << /D << /Off 225 0 R /Yes 226 0 R >> /N << /Off 225 0 R /Yes 226 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 225 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 226 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 227 0 obj << /Type /Font /Name /ZaDb /BaseFont /ZapfDingbats /FirstChar 32 /LastChar 255 /Subtype /Type1 >> endobj 228 0 obj << /F 4 /H /T /Type /Annot /Rect [ 51 468 62 479 ] /FT /Btn /Subtype /Widget /T (No1) /AP << /D << /Off 229 0 R /No 230 0 R >> /N << /Off 229 0 R /No 230 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 229 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 230 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 231 0 obj << /F 4 /H /T /Type /Annot /Rect [ 321 478 332 488 ] /FT /Btn /Subtype /Widget /T (Yes_Please_complete_item) /AP << /D << /Off 232 0 R /Yes#20Please#20complete#20item 233 0 R >> /N << /Off 232 0 R /Yes#20Please#20complete#20item 233 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 232 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 233 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 234 0 obj << /F 4 /H /T /Type /Annot /Rect [ 321 460 332 471 ] /FT /Btn /Subtype /Widget /T (No2) /AP << /D << /Off 235 0 R /No 236 0 R >> /N << /Off 235 0 R /No 236 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 235 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 236 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 237 0 obj << /F 4 /Type /Annot /Rect [ 36 361 306 418 ] /FT /Tx /Subtype /Widget /P 215 0 R /T (FillText22) /DA (/TiBo 9 Tf 0 g) /Ff 8392704 /Maxlen 16000 >> endobj 238 0 obj << /F 4 /Type /Annot /Rect [ 55 335 83 347 ] /FT /Tx /Subtype /Widget /P 215 0 R /T (FillText4) /Q 1 /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 239 0 obj << /F 4 /Type /Annot /Rect [ 89 335 190 347 ] /FT /Tx /Subtype /Widget /P 215 0 R /T (FillText7) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 240 0 obj << /F 4 /Type /Annot /Rect [ 309 361 578 418 ] /FT /Tx /Subtype /Widget /P 215 0 R /T (FillText25) /DA (/TiBo 9 Tf 0 g) /Ff 8392704 /Maxlen 16000 >> endobj 241 0 obj << /F 4 /Type /Annot /Rect [ 327 335 355 347 ] /FT /Tx /Subtype /Widget /P 215 0 R /T (FillText8) /Q 1 /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 242 0 obj << /F 4 /Type /Annot /Rect [ 361 335 462 347 ] /FT /Tx /Subtype /Widget /P 215 0 R /T (FillText26) /DA (/TiBo 9 Tf 0 g) /Ff 8388608 /Maxlen 16000 >> endobj 243 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 315 479 326 ] /FT /Btn /Subtype /Widget /T (No3) /AP << /D << /1 244 0 R /Off 245 0 R >> /N << /1 244 0 R /Off 245 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 244 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 245 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 246 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 315 529 326 ] /FT /Btn /Subtype /Widget /T (CheckBox1) /AP << /D << /1 247 0 R /Off 248 0 R >> /N << /1 247 0 R /Off 248 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 247 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 248 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 249 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 294 479 305 ] /FT /Btn /Subtype /Widget /T (Yes3) /AP << /D << /Off 250 0 R /Yes 251 0 R >> /N << /Off 250 0 R /Yes 251 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 250 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 251 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 252 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 294 529 305 ] /FT /Btn /Subtype /Widget /T (No4) /AP << /D << /Off 253 0 R /No 254 0 R >> /N << /Off 253 0 R /No 254 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 253 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 254 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 255 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 272 479 283 ] /FT /Btn /Subtype /Widget /T (Yes_Please_attach_a_copy) /AP << /D << /1 256 0 R /Off 257 0 R >> /N << /1 256 0 R /Off 257 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 256 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 257 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 258 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 272 529 283 ] /FT /Btn /Subtype /Widget /T (CheckBox2) /AP << /D << /1 259 0 R /Off 260 0 R >> /N << /1 259 0 R /Off 260 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 259 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 260 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 261 0 obj << /F 4 /H /T /Type /Annot /Rect [ 468 246 479 257 ] /FT /Btn /Subtype /Widget /T (CheckBox24) /AP << /D << /Off 262 0 R /Yes 263 0 R >> /N << /Off 262 0 R /Yes 263 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 262 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 263 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 264 0 obj << /F 4 /H /T /Type /Annot /Rect [ 518 246 529 257 ] /FT /Btn /Subtype /Widget /T (CheckBox23) /AP << /D << /Off 265 0 R /No 266 0 R >> /N << /Off 265 0 R /No 266 0 R >> >> /AS /Off /DA (0 g /ZaDb 14 Tf) >> endobj 265 0 obj << /Length 3 /BBox [ 0 0 11 11 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 266 0 obj << /Length 54 /BBox [ 0 0 11 11 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 14 Tf 1 0 0 1 0.658 0.558 Tm (8) Tj ET endstream endobj 267 0 obj << /F 4 /H /T /Type /Annot /Rect [ 48 188 56 196 ] /FT /Btn /Subtype /Widget /T (CheckBox36) /AP << /D << /1 268 0 R /Off 269 0 R >> /N << /1 268 0 R /Off 269 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 268 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 269 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 270 0 obj << /F 4 /H /T /Type /Annot /Rect [ 48 173 56 181 ] /FT /Btn /Subtype /Widget /T (CheckBox37) /AP << /D << /1 271 0 R /Off 272 0 R >> /N << /1 271 0 R /Off 272 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 271 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 272 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 273 0 obj << /F 4 /H /T /Type /Annot /Rect [ 48 160 56 168 ] /FT /Btn /Subtype /Widget /T (CheckBox38) /AP << /D << /1 274 0 R /Off 275 0 R >> /N << /1 274 0 R /Off 275 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 274 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 275 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 276 0 obj << /F 4 /H /T /Type /Annot /Rect [ 48 145 56 154 ] /FT /Btn /Subtype /Widget /T (CheckBox25) /AP << /D << /1 277 0 R /Off 278 0 R >> /N << /1 277 0 R /Off 278 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 277 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 278 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 279 0 obj << /F 4 /H /T /Type /Annot /Rect [ 48 131 56 140 ] /FT /Btn /Subtype /Widget /T (CheckBox26) /AP << /D << /1 280 0 R /Off 281 0 R >> /N << /1 280 0 R /Off 281 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 280 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 281 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 282 0 obj << /F 4 /H /T /Type /Annot /Rect [ 48 117 56 126 ] /FT /Btn /Subtype /Widget /T (CheckBox27) /AP << /D << /1 283 0 R /Off 284 0 R >> /N << /1 283 0 R /Off 284 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 283 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 284 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 285 0 obj << /F 4 /H /T /Type /Annot /Rect [ 48 103 56 112 ] /FT /Btn /Subtype /Widget /T (CheckBox28) /AP << /D << /1 286 0 R /Off 287 0 R >> /N << /1 286 0 R /Off 287 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 286 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 287 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 288 0 obj << /F 4 /H /T /Type /Annot /Rect [ 48 89 56 98 ] /FT /Btn /Subtype /Widget /T (CheckBox29) /AP << /D << /1 289 0 R /Off 290 0 R >> /N << /1 289 0 R /Off 290 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 289 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 290 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 291 0 obj << /F 4 /H /T /Type /Annot /Rect [ 48 75 56 84 ] /FT /Btn /Subtype /Widget /T (CheckBox30) /AP << /D << /1 292 0 R /Off 293 0 R >> /N << /1 292 0 R /Off 293 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 292 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 293 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 294 0 obj << /F 4 /H /T /Type /Annot /Rect [ 48 61 56 70 ] /FT /Btn /Subtype /Widget /T (CheckBox31) /AP << /D << /1 295 0 R /Off 296 0 R >> /N << /1 295 0 R /Off 296 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 295 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 296 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 297 0 obj << /F 4 /H /T /Type /Annot /Rect [ 315 188 323 196 ] /FT /Btn /Subtype /Widget /T (CheckBox32) /AP << /D << /1 298 0 R /Off 299 0 R >> /N << /1 298 0 R /Off 299 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 298 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 299 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 300 0 obj << /F 4 /H /T /Type /Annot /Rect [ 315 173 323 181 ] /FT /Btn /Subtype /Widget /T (CheckBox39) /AP << /D << /1 301 0 R /Off 302 0 R >> /N << /1 301 0 R /Off 302 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 301 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 302 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 303 0 obj << /F 4 /H /T /Type /Annot /Rect [ 315 160 323 168 ] /FT /Btn /Subtype /Widget /T (CheckBox40) /AP << /D << /1 304 0 R /Off 305 0 R >> /N << /1 304 0 R /Off 305 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 304 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 305 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 306 0 obj << /F 4 /H /T /Type /Annot /Rect [ 315 145 323 154 ] /FT /Btn /Subtype /Widget /T (CheckBox41) /AP << /D << /1 307 0 R /Off 308 0 R >> /N << /1 307 0 R /Off 308 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 307 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 308 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 309 0 obj << /F 4 /H /T /Type /Annot /Rect [ 315 131 323 140 ] /FT /Btn /Subtype /Widget /T (CheckBox42) /AP << /D << /1 310 0 R /Off 311 0 R >> /N << /1 310 0 R /Off 311 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 310 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 311 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 312 0 obj << /F 4 /H /T /Type /Annot /Rect [ 315 117 323 126 ] /FT /Btn /Subtype /Widget /T (CheckBox43) /AP << /D << /1 313 0 R /Off 314 0 R >> /N << /1 313 0 R /Off 314 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 313 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 314 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 315 0 obj << /F 4 /H /T /Type /Annot /Rect [ 315 103 323 112 ] /FT /Btn /Subtype /Widget /T (CheckBox44) /AP << /D << /1 316 0 R /Off 317 0 R >> /N << /1 316 0 R /Off 317 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 316 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 317 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 318 0 obj << /F 4 /H /T /Type /Annot /Rect [ 315 89 323 98 ] /FT /Btn /Subtype /Widget /T (CheckBox45) /AP << /D << /1 319 0 R /Off 320 0 R >> /N << /1 319 0 R /Off 320 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 319 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 320 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 321 0 obj << /F 4 /H /T /Type /Annot /Rect [ 315 75 323 84 ] /FT /Btn /Subtype /Widget /T (CheckBox46) /AP << /D << /1 322 0 R /Off 323 0 R >> /N << /1 322 0 R /Off 323 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 322 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 323 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 324 0 obj << /F 4 /H /T /Type /Annot /Rect [ 315 61 323 70 ] /FT /Btn /Subtype /Widget /T (CheckBox47) /AP << /D << /1 325 0 R /Off 326 0 R >> /N << /1 325 0 R /Off 326 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 325 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 326 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 327 0 obj << /F 4 /H /T /Type /Annot /Rect [ 315 47 323 56 ] /FT /Btn /Subtype /Widget /T (CheckBox48) /AP << /D << /1 328 0 R /Off 329 0 R >> /N << /1 328 0 R /Off 329 0 R >> >> /AS /Off /DA (0 g /ZaDb 11 Tf) >> endobj 328 0 obj << /Length 54 /BBox [ 0 0 9 9 ] /Resources << /Font << /ZaDb 227 0 R >> /ProcSet [ /PDF /Text ] >> /MK << /CA (8)>> >> stream BT 0 g /ZaDb 11 Tf 1 0 0 1 0.592 0.516 Tm (8) Tj ET endstream endobj 329 0 obj << /Length 3 /BBox [ 0 0 9 9 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 G endstream endobj 330 0 obj [ 750 750 278 278 355 556 556 889 667 191 333 333 389 584 278 333 278 278 556 556 556 556 556 556 556 556 556 556 278 278 584 584 584 556 1015 667 667 722 722 667 611 778 722 278 500 667 556 833 722 778 667 778 722 667 611 722 667 944 667 667 611 278 278 278 469 556 333 556 556 500 556 556 278 556 556 222 222 500 222 833 556 556 556 556 333 500 278 556 500 722 500 500 500 334 260 334 584 750 556 750 222 556 333 1000 556 556 333 1000 667 333 1000 750 611 750 750 222 222 333 333 350 556 1000 333 1000 500 333 944 750 500 667 278 333 556 556 556 556 260 556 333 737 370 556 584 333 737 552 400 549 333 333 333 576 537 278 333 333 365 556 834 834 834 611 667 667 667 667 667 667 1000 722 667 667 667 667 278 278 278 278 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 556 556 556 556 556 556 889 500 556 556 556 556 278 278 278 278 556 556 556 556 556 556 556 549 611 556 556 556 556 500 556 500 ] endobj 331 0 obj << /Type /Font /Name /F1 /Encoding /WinAnsiEncoding /BaseFont /Arial,Italic /FirstChar 30 /LastChar 255 /Subtype /TrueType /FontDescriptor 332 0 R /Widths 330 0 R >> endobj 332 0 obj << /Type /FontDescriptor /FontBBox [ -517 -325 1082 998 ] /FontName /Arial,Italic /Flags 288 /MissingWidth 750 /StemV 85 /StemH 85 /CapHeight 905 /XHeight 633 /Ascent 905 /Descent -212 /Leading 150 /MaxWidth 1599 /AvgWidth 441 /ItalicAngle -12 >> endobj 333 0 obj << /Type /FontDescriptor /FontBBox [ -628 -376 2034 1010 ] /FontName /Arial,Bold /Flags 32 /MissingWidth 750 /StemV 85 /StemH 85 /CapHeight 905 /XHeight 633 /Ascent 905 /Descent -212 /Leading 150 /MaxWidth 2662 /AvgWidth 479 /ItalicAngle 0 >> endobj 334 0 obj [ 750 750 278 333 474 556 556 889 722 238 333 333 389 584 278 333 278 278 556 556 556 556 556 556 556 556 556 556 333 333 584 584 584 611 975 722 722 722 722 667 611 778 722 278 556 722 611 833 722 778 667 778 722 667 611 722 667 944 667 667 611 333 278 333 584 556 333 556 611 556 611 556 333 611 611 278 278 556 278 889 611 611 611 611 389 556 333 611 556 778 556 556 500 389 280 389 584 750 556 750 278 556 500 1000 556 556 333 1000 667 333 1000 750 611 750 750 278 278 500 500 350 556 1000 333 1000 556 333 944 750 500 667 278 333 556 556 556 556 280 556 333 737 370 556 584 333 737 552 400 549 333 333 333 576 556 278 333 333 365 556 834 834 834 611 722 722 722 722 722 722 1000 722 667 667 667 667 278 278 278 278 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 556 556 556 556 556 556 889 556 556 556 556 556 278 278 278 278 611 611 611 611 611 611 611 549 611 611 611 611 611 556 611 556 ] endobj 335 0 obj << /Type /Font /Name /F0 /Encoding /WinAnsiEncoding /BaseFont /Arial,Bold /FirstChar 30 /LastChar 255 /Subtype /TrueType /FontDescriptor 333 0 R /Widths 334 0 R >> endobj 336 0 obj << /Type /FontDescriptor /FontBBox [ -665 -325 2028 1006 ] /FontName /Arial /Flags 32 /MissingWidth 750 /StemV 85 /StemH 85 /CapHeight 905 /XHeight 633 /Ascent 905 /Descent -212 /Leading 150 /MaxWidth 2693 /AvgWidth 441 /ItalicAngle 0 >> endobj 337 0 obj [ 750 750 278 333 474 556 556 889 722 238 333 333 389 584 278 333 278 278 556 556 556 556 556 556 556 556 556 556 333 333 584 584 584 611 975 722 722 722 722 667 611 778 722 278 556 722 611 833 722 778 667 778 722 667 611 722 667 944 667 667 611 333 278 333 584 556 333 556 611 556 611 556 333 611 611 278 278 556 278 889 611 611 611 611 389 556 333 611 556 778 556 556 500 389 280 389 584 750 556 750 278 556 500 1000 556 556 333 1000 667 333 1000 750 611 750 750 278 278 500 500 350 556 1000 333 1000 556 333 944 750 500 667 278 333 556 556 556 556 280 556 333 737 370 556 584 333 737 552 400 549 333 333 333 576 556 278 333 333 365 556 834 834 834 611 722 722 722 722 722 722 1000 722 667 667 667 667 278 278 278 278 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 556 556 556 556 556 556 889 556 556 556 556 556 278 278 278 278 611 611 611 611 611 611 611 549 611 611 611 611 611 556 611 556 ] endobj 338 0 obj [ 750 750 278 278 355 556 556 889 667 191 333 333 389 584 278 333 278 278 556 556 556 556 556 556 556 556 556 556 278 278 584 584 584 556 1015 667 667 722 722 667 611 778 722 278 500 667 556 833 722 778 667 778 722 667 611 722 667 944 667 667 611 278 278 278 469 556 333 556 556 500 556 556 278 556 556 222 222 500 222 833 556 556 556 556 333 500 278 556 500 722 500 500 500 334 260 334 584 750 556 750 222 556 333 1000 556 556 333 1000 667 333 1000 750 611 750 750 222 222 333 333 350 556 1000 333 1000 500 333 944 750 500 667 278 333 556 556 556 556 260 556 333 737 370 556 584 333 737 552 400 549 333 333 333 576 537 278 333 333 365 556 834 834 834 611 667 667 667 667 667 667 1000 722 667 667 667 667 278 278 278 278 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 556 556 556 556 556 556 889 500 556 556 556 556 278 278 278 278 556 556 556 556 556 556 556 549 611 556 556 556 556 500 556 500 ] endobj 339 0 obj << /Type /Font /Name /F2 /Encoding /WinAnsiEncoding /BaseFont /Arial /FirstChar 30 /LastChar 255 /Subtype /TrueType /FontDescriptor 336 0 R /Widths 338 0 R >> endobj 340 0 obj << /Type /FontDescriptor /FontBBox [ -560 -376 1157 1000 ] /FontName /Arial,BoldItalic /Flags 288 /MissingWidth 750 /StemV 85 /StemH 85 /CapHeight 905 /XHeight 633 /Ascent 905 /Descent -212 /Leading 150 /MaxWidth 1716 /AvgWidth 479 /ItalicAngle -12 >> endobj 341 0 obj << /Type /Font /Name /F3 /Encoding /WinAnsiEncoding /BaseFont /Arial,BoldItalic /FirstChar 30 /LastChar 255 /Subtype /TrueType /FontDescriptor 340 0 R /Widths 337 0 R >> endobj 342 0 obj << /Length 2492 /Filter /FlateDecode >> stream HWR}ޡo[,݅M},\Kqcfxc큝'#5s$o~T*{ڞ}#N>(H1H/wcqts9'=,U1ƴmaMEy/nlYWeCgfN+~-?ϣ L!Y> JqW5lD/=?^OhV=/ ʨ1ga ~, RV)k[QR[ѪZbc\9=b3@APS(b_2D63$p6ݴYlzEU U<ܔU~LD$Cd'}v~}JWYݖn̊5s^M[.r˩(bs=n8,9ɂUjji J"rO} ofc/V6SlrH@rN2D;cme]nlIʕb2YP^S|gP*vl? 4K,z"JA 4,Rs5W }ɚ%J_hԶ®͋)nLkItO1G-')jJHߧģ*dqSlI'ΏggRpZղyF ΃Lȅ[`XZY̥[26E]s3-(4yRyΜ2QKT[X?Ovx{V.3,TfH{ؖiC<_ (|66_,uJ򾁗iچҥ|[I}Br + ȳ)̀Z"̗O:aqO5d,X"DWoY#CŒ8%ޕ/ԃ7Z) bփ—a "sc8jЖe7{iG,0aQ]&/|rֶELƀUI`2R _@p6ݢ<)E!- 5_hwYDYK+͢Z6~VFKvbݛdp޾{q(L&kd #9|6!ptyz!HE]:=DCprĈNk?f˺Ū##+ cydަr #Gft~5EBTKd,*5 udP_y}='{hf qjQԻ,BiM$-p䠉NY.@8sWB z]_K ze7@KhQWH\e@Ɣ<`j,P] >> startxref 84705 %%EOF